EP1885310B1 - Orthese compressive de contention du membre inférieur en forme d'article tricoté de type bas, chaussette ou collant - Google Patents

Orthese compressive de contention du membre inférieur en forme d'article tricoté de type bas, chaussette ou collant Download PDF

Info

Publication number: EP1885310B1
Authority: EP; European Patent Office
Prior art keywords: orthosis; foot; pressure; chosen; instep
Prior art date: 2005-05-02
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.): Revoked

Application number

EP06755460.0A

Other languages

German (de)

English (en)

French (fr)

Other versions

EP1885310A2 (fr

Inventor

Arnaud Gobet

François Cros

Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)

Innothera Topic International SA

Original Assignee

Innothera Topic International SA

Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)

2005-05-02

Filing date

2006-04-28

Publication date

2014-03-12

Family has litigation

First worldwide family litigation filed litigation Critical https://patents.darts-ip.com/?family=35601860&utm_source=google_patent&utm_medium=platform_link&utm_campaign=public_patent_search&patent=EP1885310(B1) "Global patent litigation dataset” by Darts-ip is licensed under a Creative Commons Attribution 4.0 International License.

2006-04-28 Application filed by Innothera Topic International SA filed Critical Innothera Topic International SA

2008-02-13 Publication of EP1885310A2 publication Critical patent/EP1885310A2/fr

2014-03-12 Application granted granted Critical

2014-03-12 Publication of EP1885310B1 publication Critical patent/EP1885310B1/fr

Status Revoked legal-status Critical Current

2026-04-28 Anticipated expiration legal-status Critical

Images

Classifications

- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F13/00—Bandages or dressings; Absorbent pads
- A61F13/06—Bandages or dressings; Absorbent pads specially adapted for feet or legs; Corn-pads; Corn-rings
- A61F13/08—Elastic stockings; for contracting aneurisms
- A—HUMAN NECESSITIES
- A41—WEARING APPAREL
- A41B—SHIRTS; UNDERWEAR; BABY LINEN; HANDKERCHIEFS
- A41B11/00—Hosiery; Panti-hose
- A41B11/003—Hosiery with intermediate sections of different elasticity
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F5/00—Orthopaedic methods or devices for non-surgical treatment of bones or joints; Nursing devices ; Anti-rape devices
- A61F5/01—Orthopaedic devices, e.g. long-term immobilising or pressure directing devices for treating broken or deformed bones such as splints, casts or braces
- A61F5/0102—Orthopaedic devices, e.g. long-term immobilising or pressure directing devices for treating broken or deformed bones such as splints, casts or braces specially adapted for correcting deformities of the limbs or for supporting them; Ortheses, e.g. with articulations
- A61F5/0104—Orthopaedic devices, e.g. long-term immobilising or pressure directing devices for treating broken or deformed bones such as splints, casts or braces specially adapted for correcting deformities of the limbs or for supporting them; Ortheses, e.g. with articulations without articulation
- A61F5/0111—Orthopaedic devices, e.g. long-term immobilising or pressure directing devices for treating broken or deformed bones such as splints, casts or braces specially adapted for correcting deformities of the limbs or for supporting them; Ortheses, e.g. with articulations without articulation for the feet or ankles

Definitions

the present invention relates to orthoses generally known as “compression stockings” or “compression stockings” for the treatment of chronic venous insufficiency (CVI).
compression stockings or “compression stockings” for the treatment of chronic venous insufficiency (CVI).
compression stockings which are medical stockings producing a compression effect / compression of the lower limbs, as opposed to “holding stockings” (or “support stockings” or “stocking stockings”). fatigue ”) and” low fashion ", which are not medical socks for therapeutic purposes.
These medical compression stockings are socks which exert a pressure, measured at the ankle, of 10 to more than 36 mmHg (13 to 48 hPa), however, in the present description the mmHg will be used as a pressure measurement unit given its universal use in the field of phlebology and medical restraint).
These stockings are divided according to the French standard into four classes of contention, namely class I (10 to 15 mmHg at the ankle), class II (15 to 20 mmHg), class III (20 to 36 mmHg) and the class IV (> 36 mmHg).
the EP 0 934 043 B1 describes an article of restraint intended for sportsmen, with a particular pressure gradient, opposite to the compression stockings of the insufficient venous.
This article comprises a first part wrapping the foot and the malleoli, and a second part wrapping the calf, exerting a mean pressure lower than that exerted by the first part. There is no indication, however, of how the pressure varies below the malleolus at the level of the second part.
the compression stockings are made of an elastic material, typically a knit mesh of very tight texture with, in addition, incorporation of an elastic weft thread (generally a spandex gimped), They are sized according to the patient's leg, to obtain by elasticity the desired degree and pressure profile.
an elastic weft thread generally a spandex gimped
the starting point of the invention is the finding that many users of these compression stockings complain of feelings of discomfort in the instep, and significant cooling of the foot after a few hours of wearing. This phenomenon is due to the very tight texture of compression stockings, which is necessary to produce a medical effect on the leg but causes on the foot, in particular at the level of the malleolar regions and the instep, a residual compression producing an excess of pressure causing the disadvantages mentioned above. These disadvantages do not appear with the hold downs and low mode, which exert only a much lower pressure.
foot means the entire region of the lower limb from the malleolus region - the tibial and peroneal bone crests - to the extremity of the toes, the "instep” being defined as the anterior superior part situated in the region of the curvature of the foot).
the pressure is not controlled at the foot and therefore it can even be at the level of the instep greater than that exerted at the ankle.
One of the aims of the invention is to propose a medical compression orthosis making it possible to remedy these drawbacks by means of a new pressure profile defined specifically for the foot part.
the invention provides a medical compression orthosis having a pressure profile where the pressure delivered at the instep is reduced to a value close to that provided by a non-medical textile.
the pressure is delivered at a median value between that delivered at the level of the instep and the value prescribed at the level of the ankle according to the class of restraint chosen.
the orthosis has a progressive pressure profile between the foot and the ankle, to guard against a tourniquet effect at the ankle.
the orthosis of the invention is in the form of a knitted article of low type, sock or pantyhose, comprising a leg portion and a foot portion.
the leg portion which extends upwardly from the ankle, is a compressive tubular portion whose mesh structure and sizing are chosen so as to apply on the leg a therapeutic compression pressure once the orthosis slipped on the member.
the foot portion which extends from the malleolar region to the toe region covering the region of the instep, is a shaped portion whose mesh structure and sizing are selected to elastically wrap. the foot once the orthosis threaded on the member.
the mesh structure and the dimensioning of the foot part are chosen so as to verify the relations (i) 0 ⁇ P x ⁇ P m ⁇ P b and (ii) P m ⁇ 36 mmHg once the orthosis is threaded on the limb, P x being the pressure applied at the level of the instep, P m being the pressure applied at the level of the malleoli, and P b being the therapeutic compression pressure applied at the level of the ankle.
P m ⁇ 36 mmHg is a condition specifying that the orthosis is intended to treat chronic venous insufficiency and does not fall within another of a therapeutic area.
the pressure on the instep can be assessed by averaging the pressures on the upper, inner and outer sides of the instep region.
the pressure at the level of the malleoli can be evaluated by an average of the pressures taken on the anterior, the posterior, the internal face and the external face of the malleolar region.
the various regions of the lower part of the orthosis are represented, which is a closed orthosis in the lower part, that is to say which surrounds the foot, for example a sock, a stocking or a tights.
These different regions include a leg portion 10 extending upwardly from the ankle (and including this region), and a foot portion 12 extending from the malleolar region 14 (and including this region) to to the region 16 of the toes, covering the intermediate region of the instep 18.
the leg portion 10 is a compressive tubular portion, in itself known and unmodified, whose mesh structure and dimensioning are chosen so as to apply on the leg a therapeutic compression pressure once the orthosis threaded on the member.
the mesh may be of the same type as that of conventional compression stockings, for example of screen type, jersey, pinched or floated micromesh, etc., all knits known in themselves knitting techniques specialist.
the yarn chosen for the knitting of this orthosis it may be a spandex cotton and polyamide elastane, a cotton-free elastane guiped polyamide, or a mixture of elastane and elasto-diene (rubber latex synthetic).
the choice of the mesh and the threads, as well as the sizing of the different rows of stitches, are defined so as to apply predetermined pressures at different altitudes of the leg, for example at the height of the ankle, at the start of the calf, at the calf level, popliteal, etc. up to the thigh in the case of a thigh-high or pantyhose.
These different pressures are defined for each class of compression with reference to metrological templates such as the Hohenstein model: for a given altitude, the structure of the row of meshes ensures a homogeneous distribution of the elastic return forces on the circumference of the bottom, c that is to say along a contour corresponding to a horizontal section of the member.
the foot portion is a shaped part, that is to say, intended to match the shape of the foot, and whose mesh structure and sizing are chosen so as to elastically wrap the foot once the orthosis threaded on the limb, so as to allow a satisfactory maintenance of the leg portion, without wrinkling or displacement of the material of the orthosis relative to the foot during walking.
the compression is not uniform over the entire contour.
P m applied at the level of the malleoli
P x applied at the level of the instep from averages of local pressures measured at several points.
the figure 2 illustrates an example of measurement points for the evaluation of these pressure values.
the pressure can be measured at four points distributed as follows: M 1 on the anterior side, M 2 on the posterior side, M 3 on the inner side and M 4 on the outer side, just below. malleolus.
M 1 on the anterior side M 2 on the posterior side
M 3 on the inner side M 4 on the outer side
malleolus M 4 on the outer side
the orthosis is thus designed to deliver a pressure at the instep for example of 5 mmHg, a value close to a non-medical textile, sufficient to allow wrapping of the foot and maintaining the orthosis without discomfort for the subject.
the figure 3 illustrates examples of pressures P x , P m and P b for orthoses of class I, II and II according to the invention.
the product remains in compliance with the regulatory requirements and, regardless of the class, does not require a new certification in relation to the existing product.

Landscapes

Health & Medical Sciences (AREA)
Engineering & Computer Science (AREA)
Vascular Medicine (AREA)
Biomedical Technology (AREA)
Heart & Thoracic Surgery (AREA)
Life Sciences & Earth Sciences (AREA)
Animal Behavior & Ethology (AREA)
General Health & Medical Sciences (AREA)
Public Health (AREA)
Veterinary Medicine (AREA)
Textile Engineering (AREA)
Orthopedic Medicine & Surgery (AREA)
Nursing (AREA)
Orthopedics, Nursing, And Contraception (AREA)
Socks And Pantyhose (AREA)

EP06755460.0A 2005-05-02 2006-04-28 Orthese compressive de contention du membre inférieur en forme d'article tricoté de type bas, chaussette ou collant Revoked EP1885310B1 (fr)

Applications Claiming Priority (2)

Application Number	Priority Date	Filing Date	Title
FR0504436A FR2885035B1 (fr)	2005-05-02	2005-05-02	Orthese compressive du membre inferieur en forme d'article tricote de type bas, chaussette ou collant
PCT/FR2006/000956 WO2006117459A2 (fr)	2005-05-02	2006-04-28	Orthese compressive de contention du membre inférieur en forme d'article tricoté de type bas, chaussette ou collant

Publications (2)

Publication Number	Publication Date
EP1885310A2 EP1885310A2 (fr)	2008-02-13
EP1885310B1 true EP1885310B1 (fr)	2014-03-12

Family

ID=35601860

Family Applications (1)

Application Number	Title	Priority Date	Filing Date
EP06755460.0A Revoked EP1885310B1 (fr)	2005-05-02	2006-04-28	Orthese compressive de contention du membre inférieur en forme d'article tricoté de type bas, chaussette ou collant

Country Status (13)

Country	Link
US (1)	US7192411B2 (pt)
EP (1)	EP1885310B1 (pt)
JP (1)	JP4763045B2 (pt)
KR (1)	KR101266547B1 (pt)
CN (1)	CN101222890B (pt)
AU (1)	AU2006243112B2 (pt)
BR (1)	BRPI0611384A2 (pt)
CA (1)	CA2606290C (pt)
DK (1)	DK1885310T3 (pt)
EA (1)	EA011940B1 (pt)
FR (1)	FR2885035B1 (pt)
HK (1)	HK1122979A1 (pt)
WO (1)	WO2006117459A2 (pt)

Cited By (1)

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WO2021058043A1 (de)	2019-09-25	2021-04-01	Dr. Recknagel Gesundheitsservice Gmbh	Bandagesystem mit entstauungsfunktion

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TWI657811B (zh) *	2018-03-02	2019-05-01	許文華	下肢矯正裝具
DE102018107576B4 (de)	2018-03-29	2021-05-27	Uwe Valder	Bandagesystem mit Entstauungsfunktion
EP3968907A1 (en) *	2019-05-16	2022-03-23	Örmerci Çorap Sanyi ve Ticaret Limited Sirketi	A pair of supportive socks for disorders caused by foot deformities
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2005
- 2005-05-02 FR FR0504436A patent/FR2885035B1/fr active Active
- 2005-06-22 US US11/158,330 patent/US7192411B2/en active Active
2006
- 2006-04-28 BR BRPI0611384-2A patent/BRPI0611384A2/pt not_active IP Right Cessation
- 2006-04-28 WO PCT/FR2006/000956 patent/WO2006117459A2/fr active Application Filing
- 2006-04-28 CN CN2006800144105A patent/CN101222890B/zh not_active Expired - Fee Related
- 2006-04-28 KR KR1020077028256A patent/KR101266547B1/ko not_active IP Right Cessation
- 2006-04-28 JP JP2008509466A patent/JP4763045B2/ja not_active Expired - Fee Related
- 2006-04-28 AU AU2006243112A patent/AU2006243112B2/en not_active Ceased
- 2006-04-28 EA EA200702396A patent/EA011940B1/ru not_active IP Right Cessation
- 2006-04-28 DK DK06755460.0T patent/DK1885310T3/da active
- 2006-04-28 CA CA2606290A patent/CA2606290C/fr active Active
- 2006-04-28 EP EP06755460.0A patent/EP1885310B1/fr not_active Revoked
2009
- 2009-01-09 HK HK09100230.1A patent/HK1122979A1/xx not_active IP Right Cessation

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number	Priority date	Publication date	Assignee	Title
WO2021058043A1 (de)	2019-09-25	2021-04-01	Dr. Recknagel Gesundheitsservice Gmbh	Bandagesystem mit entstauungsfunktion

Also Published As

Publication number	Publication date
AU2006243112A1 (en)	2006-11-09
US7192411B2 (en)	2007-03-20
KR101266547B1 (ko)	2013-05-23
JP4763045B2 (ja)	2011-08-31
CA2606290C (fr)	2013-01-15
BRPI0611384A2 (pt)	2010-09-14
WO2006117459A3 (fr)	2006-12-28
CN101222890A (zh)	2008-07-16
HK1122979A1 (en)	2009-06-05
EA011940B1 (ru)	2009-06-30
JP2008539844A (ja)	2008-11-20
EP1885310A2 (fr)	2008-02-13
AU2006243112B2 (en)	2011-08-18
CN101222890B (zh)	2011-05-11
DK1885310T3 (da)	2014-05-26
WO2006117459A2 (fr)	2006-11-09
FR2885035A1 (fr)	2006-11-03
US20060247566A1 (en)	2006-11-02
FR2885035B1 (fr)	2008-04-18
EA200702396A1 (ru)	2008-06-30
KR20080057207A (ko)	2008-06-24
CA2606290A1 (fr)	2006-11-09

Publication	Publication Date	Title
EP1885310B1 (fr)	2014-03-12	Orthese compressive de contention du membre inférieur en forme d'article tricoté de type bas, chaussette ou collant
EP0927014B1 (fr)	2001-09-12	Orthese compressive de type botte pour le traitement des pathologies circulatoires des membres inferieurs, notamment pour la contention de la jambe a la suite d'un ulcere veineux
CA2717515C (fr)	2016-05-31	Orthese de compression veineuse elastique a mise en place facilitee
EP1845908B1 (fr)	2009-01-07	Orthèse souple amovible pour atteinte du médio-pied
CA2612210A1 (fr)	2006-12-21	Orthese compressive tricotee du membre inferieur pour le traitement de l'insuffisance veineuse chronique
EP2596777B1 (fr)	2015-02-18	Orthèse adaptée de compression/contention, pour le renforcement de la pompe musculo-aponévrotique du mollet
FR2813523A1 (fr)	2002-03-08	Orthese compressive tubulaire pour la contention d'un membre inferieur apres une intervention de chirurgie veineuse, notamment apres eveinage ou phlebectomie ambulatoire
CA2756642A1 (fr)	2012-05-10	Orthese sur mesure de compression/contention, pour le renforcement de la pompe musculo-aponevrotique du mollet
CA2256754C (fr)	2003-09-30	Orthese compressive de type bas ou collant de contention
EP1613256B1 (fr)	2007-06-06	Article ou sous-article de contention
BR112013018375B1 (pt)	2021-01-12	vestimentas de compressão graduada
Van Geest et al.	2003	Medical elastic compression stockings in the treatment of venous insufficiency
JP2017217324A (ja)	2017-12-14	弾性ストッキング
WO2010037609A1 (fr)	2010-04-08	Bas de compression destiné aux insuffisances veineuses chroniques modérées à lourdes
FR2606630A1 (fr)	1988-05-20	Chevillere
FR2971417A1 (fr)	2012-08-17	Ortheses de compression veineuse elastique avec une pointe de pied avec pression allegee
FR3005261A1 (fr)	2014-11-07	Orthese de compression avec repere visuel amovible permettant un bon positionnement
JP2018143555A (ja)	2018-09-20	弾性ストッキング

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EP1885310B1 - Orthese compressive de contention du membre inférieur en forme d'article tricoté de type bas, chaussette ou collant - Google Patents

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